HomeMy WebLinkAbout20-558 fill
City of Zephyrhills PERMIT"NUMB'ER .
A,
5335 Eighth Street
Zephyrhills, FL 33542 BNR-000568-2020
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 09/17/2020
Permit Type: Building New (Residential)
NumW,�� � !%� - �_- "ress,,
32 25 21 0100 01800 0020 7195 Boxer Round Place
f N-W-M
o&
Name: D R HORTON Permit Type:Building New(Residential) Contractor: D R HORTON INC
Class of Work:SFR Construct
Address: 12602 Telecom Dr Building Valuation:$130,000.00
TAMPA,FL 33637 Electrical Valuation:$7,000.00
Phone: (813)549-1968 Mechanical Valuation:$7,200.00
Plumbing Valuation:$4,500.00
Total Valuation:$148,700.00
Total Fees:$14,781.44
Amount Paid:$14,781.44
Date Paid:9/17/2020 1:07:12PM
j, J
CONSTRUCT SINGLE FAMILY 2,755 SQ FT
A' (OaTt �010s!�* IN
Building Permit Fee $680.00 Mechanical Permit Fee $76.00
Public Safety Impact Fee-Admin $26.35 Mechanical Plan Review Fee $38.00
Transportation Impact Fee $3,595.68 Public Safety Impact Fee-Fire $273.00
Plumbing Plan Review Fee $31.25 Address Fee $30.00
Park Impact Fee-Single Family/Townhome $769.56 Driveway Fee $45.00
Transportation Impact Fee-City $36.32 Public Safety Impact Fee-Police $254.00
Electrical Permit Fee $75.00 Plumbing Permit Fee $62.50
SIF 1 percent Fee $83.28 School Impact Fee $8,328.00
Electrical Plan Review Fee $37.50 Building Plan Review Fee $340.00
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each subsequent reinspection.
Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permit required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications add fee Must Accompany Application.All work shall be performed in
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIGNATURE PE IT OFFICEC)
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
r--
PASCO COUNTY, FLORIDA
Permit No. ,..
Date-Permitted
Builder Name/Owner Name f 7"tt;y4h Control#'
County Parcel No, " `�21�`p2 ab, CTLZ SubDiv: 61
Address/Locatlon -7 �L--
44
Classltication/Type of Use . r
TRANSPORTATION IMPACT FEE Rate: SQ,Ft Unit-2-
Exempt No How Determined
I
Impact Fee Amount .-31 Zone No. TAM
j SCHOOL IMPACT FEE
( Account (066) Single-Famlly Detached House Amount $
(057) .Mobile Home
(058) Other Residential
123) Collection Fee
Exempt []Yea . Q No How Determined
PARKS AND RECREATION FEE-
Land Account Land Credit Land Total
Recreation Account Recreation Credit Recreation Total
Zone TOTAL AMOUNT $
Exempt [1 Yes [] No How Determined
LIBRARY FEE
Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total
Exempt ❑Yes ❑ No How Determined Total Amount
RESOURCE FEE ERU
TOTAL AMOUNT
Prepared By f Checked By
NO CERTIFICATE OF.OCCUPANCY WILL BE ISSUER-OR.FINAL INSPECTION
PERFORMED UNTILTHETOTAL AMOUNTS LISTED HAVE
BEENPAID AND
RECEIPTED FOR BY A CENTRAL'0ERMiTTING OFFICE.OF-PASCO.COUNTY
Acknowledgement below doss not Imply acceptance of concurrence,but simply receipt of a copy,of this form,placing
the building pemilt ownei on notice of this aesesenient and tho-conditlons of payment for-saa w
DATE RECEIVED BY
RECEIPT NO. DATE BY
- ---' u|Iyot/8pkY[NUsPerO\t Application ��1���2 1
Buildin�DepartmentDate Receive!d Phone Contact for Permitting a-sto C_Ck�d%)ai nk- CA�-Ikor�m, co An
Owner's Name Owner Phone Number
-Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS
FSUBDIVISION pARCEL0#
(OBTAINED FROM PROPERTY'~^'~^~°
WORK PROPOSED mewoomsTn ADo�Lr F---1 aIGN �--1 [--� DEMOLISH
[__� INSTALL �_] REPAIR
PROPOSED USE �—� . aFR �—| COMM F---1 oTHER
TYPE OF CONSTRUCTION BLOCK �—1 FRAME F---� 8TEELBUILDING SIZE F SQ FOOTAGE EIGHT
DESCRIPTION OF WORK �5%rxqlv rawdt4 resJoric-c-
'
[__]BUILDING VALUATION OF TOTAL CONSTRUCTION
�--lEL��T0��L AMP �--] PROGREGG�NER�Y F--1 VY.R.E.C.
����
F---lPLUMB|NG
=MECHANkCAL 1$ VALUATION OF MECHANICAL INSTALLATION
sit
-
0 �K � �
F--�GAG �—��' �OOFlN [--1 SPECIALTY [---1
��� ' OTHER �
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA '| \YES NO
- - - - - - - - - - - - - - - - - - - - - - - - - - -
BuILoER COMPANY
SIGNATURE nEomrsnso
Address Uonnee#
ELECTRICIAN COMPANY
SIGNATURE nsomrem� Hs&
Address License
PLUMBER oOMPANY
SIGNATURE ne�/a�sneo
FEE CURR�ItN L__�__�
Address
MECHANICAL
SIGNATURE e2 REGISTERED FEE CURREN �NAddress License#'
OTHER COMPANY
SIGNATURE
FEE CURREN
Address Npu &u Lioonsa#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set ofEnergy Forms;F-O4Y Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans, Stormwater Plans w/Silt Fence Installed,
Sanitary Facilities&I dumpster;Site Work Permit for'subdivisionsharge projects
COMMERCIAL Atfanh(2)complete sets of Building Plans plus aLife Safety Page;(1)set of Energy Forms.F-O4NPennitfnrne*cmnstrooUon.
Minimum ten(1O)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence Installed,
Sanitary Facilities&I dumoster.Site Work Permit for all new projects.All commercial requirem' ents must meet compliance
SIGN PERMIT Attach(2)sets of Engineered P|'ann.
°°°*PROPERTY SURVEY required for all NEW construction. '
Fill out application completely. '
Owner&Contractor sign back of application,notarized
If over$o5on^a Notice of Commencement isrequired. yVC upgrades over*75VV>
� Agent(for the contractor)or Power of Attorne�(for the owner)would be someone with notarized letter from owner authorizingsame
OVER THE COUNTER PERMITTING (copy of contract required)
Remofs if shingles Sewers Service Upgrades A/C Pances(PloUSumey/Fnotago)
Driveways-Not over Counter ifon public madways..noednROW
` ^
` '
`
NOTICE OFDEED RESTRICTIONS: The undersigned understands that this permit may besubject to"deed"
which may be more restrictive than County regulations, The undersigned oeeumaareopona|bi|ityforounnp|iance\wKhony ,
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a nontrooLor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as.required by |avv, both the owner and contractor may be cited for a misdemeanor violation
under state |mvv. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing-Section at 727-847-
8009. Furthermora, if the owner has hired 8 contractor or contractors, he is advised to have thb contractor(s) sign
portions of the "contractor B|ock" of this application for which they will be responsible. If you, as the owner sign as the
uontractor, that may be on indication that he is notpropaMy]|msnaed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION iK0PACT/DTlLlTIEG IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new bu||dingo, change of
use in existing bui\dingn, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07. an amended. The undersigned also undorotands, that such faes, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Feea'ond Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. (f the project doeanotinvo|veanarUfioateofocnupancyor
final power release, the fees must be paid prior to permit issuance. Furthermore. if Pasco CountyVVater/Sevver Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713. Florida Statutes, nsanmendad): |f valuation of work |a $2.50U.00or more, |
certify that >, the app|icant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. if the applicant is someone
other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver|tto the"owne["prior tocommencement.
CONTRACT[}R'S/JW0ERIS AFFIDAVIT: | certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating consbuotion, zoning and land development. Application is
hereby rneda to obtain e permit to do work and installation as indicated. | certify that no work or installation has
commenced prior to issuance of permit and that all work will be performed to meet standards of all \s^wa regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. | also
certify that | understand that the regulations of other government agencies may apply to the intended vvork, and that it is
my responsibility to identify what actions I must take to be in compliance, Such agencies include but are not limited to:
- Department ofEnvironmental Protection-Cypress Bayhaads. Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida VVotnr Management District-Wells, Cypress Bayheada, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Servioea/Environmental Health Unit4Wa||a, VVoatevveter Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authoritv'Runvvayo^
| understand that the following restrictions apply to the use of fill:
- Use of fill io not allowed in Flood Zone"\y' unless expressly permitted.
- If the 0) hloteha| is to be used in Flood Zone "A". it in understood that o drainage plan addressing a
.,compensating vol"urn�'' wiU be submitted at time of permitting which is prepared by a professional engineer
||maDsed by the Stnta[fFlorida.
- If the fiU*[Dateria| in to be Used in Flood Zone "N' in connection with s permitted building using stem vva||
construction, I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, ( certify that use of such fill Will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent proportiee, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for (oia \eee than one /1\
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. | understand that a separate permit may be required for electrical work,
plumbing, signs, vve||8` pno|s, air oonditioning. Qeo` or other installations not specifically included in the application. A
permit issued shall be construed to be license to proceed with the work and not aa authority ioviolate, cancel, a\tmr, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
uO|eae the work authorized by such permit is commenced within six months of permit iasVonne, or if work authorized by
the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension
may be requaeted, in vvriting, from the Building Official for a period not to exceed ninety /gO\ days and will demonstrate
justifiable o8u'ae for the extension. If work ceases for ninety(90) consecutive days, the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD /\ NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
OWNER oR AGENT— � CONTRACTOR
Subscribed and sworn to(or affirr%d)befor�mg this Subscribed and sworn to(or affirmed)before me this
Who is/are p or has/have prodbued Who is/are personally knov�n to me or has/have produced
as identification. as identification.
Notary Public
Notary Public
Commission No. Commission No.
'
PLOT PLAN
DESCRIPTION:(AS FURNISHED)
LOT 2, BLOCK 18, SILVERADO RANCH SUBDIVISION PHASES 7, 913, 11 A AND 11 B
AS RECORDED IN PLAT BOOK 77, PAGE(S) 79-86, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA.
o N N89'58'58"W
1% E P , 36.70'
OR`pR1NP�)
63
NCO• L01 2 -1
++V Bj 6�0 50•• E N I (n
ncb / N►.s� O=
V• �� 40.5' 0 z
CO 1" 30'
�Dc tK�' / / IO Yg3 ,.:,, 'cA :::' U GRAPHIC 5 SCALE00 30
/ I m
/ b AAdd LOT 1
BLOCK 18
O
ON LOT CALCULATIONS \ 1�
LOT = 11.610 SO. FT. 1
LIVING AREA = 2,045 SO. FT.
GARAGE = 454 SQ. FT.
ENTRY = 35 SQ. FT. G� �' ,w. '`r'•- u6
O
LANs = 221 So. FT. 0�' = y..•..;..
PATIO = 0 SO. FT.
DRIVEWAY - 368 So. FT. i
A/C PAD 12 SO. FT.
WALKWAY = 45 SO. FT. 135.53 -
IMPERVIOUS = 27X
= 3180 SQ. FT.
SOD = 8,430 SO. FT.
OFF LOT CALCULATIONS /
RIGHT OF WAY = 536 SO. FT. / BOXER ROUND PLACE
DRIVE APRON - 119 SQ. FT. ACT G
60' WIDE PRIVATE RIGHT OF WAY
PUBLIC S/W = 237 SO. FT. ata�
SOD - 180 SO. FT. ��♦
TOTALS
AREA = 12.146 SO. FT.
DRIVEWAY = 487 SQ. FT.
SIDEWALK = 282 SQ. FT. PI 25•00. \,\RP
SOD - 8,610 SO. FT. N6953'52'E
(REFERENCE BEARING)
PREPARED FOR:
, 0 k�NQI�IU�,sN Curve Table
.f napA" `: Curve} Length Radius I Delta Chord Bearing Chord
BUILDING SETBACKS Cl 49.34' 55.00 51-23.52• S71'15'19•W 47.70'
FRONT: 22'
REAR: 13'
SIDE: 5' (50' LOTS)
7.5' (55' & 60' WIDTH LOTS)
SIDE STREET: 15' LEGEND:
NOTES: —• —•— BUILDING SETBACK LINE PI POINT OF INTERSECTION
PC POINT OF CURVATURE
1. ELEVATIONS SHOWN ARE PER LOT GRADING — - — CENTERLINE PT POINT OF TANGENCY
PLANS PROVIDED BY THE CLIENT. — --— RIGHT OF WAY LINE RP RADIUS POINT
2. ELEVATIONS ARE BASED ON NAVD 1988 PRC POINT OF REVERSE CURVATURE
DATUM. PROPOSED ELEVATION FCC POINT OF COMPOUND CURVATURE
TYP TYPICAL
PROPOSED DRAINAGE FLOW CS CONCRETE SLAB
THIS PLOT PLAN IS INTENDED FOR PERMITTING PURPOSES ,-; CONCRETE (P) PER
PLAT
ONLY. THIS IS NOT INTENDED FOR THE CONSTRUCTION OF 0 (0) CALCULATED
THE PROPOSED HOUSE. REFER TO HOUSE PLAN AND A/C AIR CONDITIONER PB PLAT BOOK
OPTION LIST FOR CONSTRUCTION. ALL BUILDING SET BACK S/W SIDEWALK SQ. PAGES
0. FT. SQUARE FEET
LINES SHOWN HEREON IS PER DATA FURNISHED BY CLIENT F.E.M.A. FEDERAL EMERGENCY MANAGEMENT AGENCY
AND IS FOR INFORMATIONAL PURPOSES ONLY. F.I.R.M. FLOOD INSURANCE RATE MAP
NAVD NORTH AMERICAN VERTICAL DATUM
THIS IS NOT A SURVEY DUE NAEiUT DATUM
DRAG d IUTY EASEMENT
THIS IS A PLOT PLAN ONLY PDE PRIVATE DRAINAGE EASEMENT
PUE PUBLIC UTILITY EASEMENT
FLOOD NOTE: SURVEYOR NOTES:
I HAVE EXAMINED 7HE F.I.R.M. MAP NO. 12101CO288F, 1. THE SURVEYOR HAS NOT ABSTRACTED THE
DATED SEPTEMBER 26,2014, AND FOUND THE SUBJECT PROPERTY LAND SHOWN HEREON FOR EASEMENTS, RIGHT
APPEARS TO UE IN ZONE-X',AREAS DETERMINED TO BE OUTSIDE THE OF WAY, RESTRICTIONS OF RECORD WHICH
0,2%ANNUAL CHANCE FLOODPLAIN. THE SURVEYOR MAKES NO MAY AFFECT THE TITLE OR USE OF THE LAND.
GUARANTEES AS TO THE ABOVE INFORMATION. PLEASE CONTACT THE
LOCAL F.E.M.A. AGENT FOR VERIFICATION. 2. NO UNDERGROUND IMPROVEMENTS HAVE BEEN
BEARING BASIS: LOCATED EXCEPT AS SHOWN.
A5hA
BEARINGS SHOWN HEREON ARE BASED ON THE CEN7ERLINE OF BOXER 3. NOT VAUD WITHOUT THE AUTHENTIC
ROUND PLACE BEING N8953'52•E,PER PLAT. ELECTRONIC SIGNATURE AND THE AUTHENTIC
(FIELD DATE:) REVISED:
A M E FR I CAN ELECTRONIC
LECTYO I ASEAL OF ALICENSED
FLORIDA
PPER
SURVEYING
SCALE: 1' 30 FEET Uigitalysgned bylamesWBoleman
Sc MAPPING INC- = °' DN:r US,st'Iorida.kotiando,
APPROVED BY: is .... .INAM�NSURVEYING&MAPPING,
CERTIFICATION OF AUTHORIZATION NUMBER LB/8393 's rt" l; emaiNboleman@asmcorpotatecom FOR
150520 LOT 2, 3191 MAGUIRE BOULEVARD, SUITE 200 sw....+;.� Date 3020A7301545:40-0400 THE
JOB NO. BLOCK 18 ORLANDO. FLORIDA 32803 `"°*'• FIRM
PLAN CHANGE 07/29/2020 00 (407) 426-7979
DRAWN BY. RMB PLOT—PLAN OB 15 2020 JG I WWWAMERICANSURVEYINGANDMAPPING.COM JAMES W. BOLEMAN PSM# 6485 DATE
PASCO COUNTY Receipt Data: 04/112016
pis�' BUILDING CONSTRUCTION SERVICES Receipt Number. 2015955
J 8731 Citizens Drive
COUNTY FLORIDA Sub 230
OPPiv SBICCFS lPtnc�S. New Port Richey,FL 34654
727-4147-8126
** NOT A PERMIT **
Paid By Check CC Auth# Cashier ID ,Wofttayon
Check 1233087 SLEBLANC BCCCP59L
Fee Desorlotion Amount Paid!
Impact Fee Residential Solid Waste Single Family ei.80
Total Payments: $61.80
Pavor -- Address -- - - Phone —
DR Horton
I.Comments: -
lCity of Zephyrhills Solid Waste
Address:7195 Boxer Round Place
Parcel:32 25 210100 01800 0020
Wine pw witl 6e peylR your hill with PNcoCowNBu6dltr CotuWRbn Serriw��the hi0�mwiR of tin eidtt ued mecludifeei,NOTshown�baw.la w0ec[�d by Mt_ __
BI IOrts ptyrii eM tnvkei.
Check Number 1233087
PASCO COUNTY BOARD OF COUNTY COMMISSION Date OW9/21
7S30 L'itde Road
DRH Inc.Controlled DIM Stub 1 of 1 691497
Po Numb Invoice NUMber 8ubdv Loth Lot J ddreae Coat Cde Legal Deac Gross Deductions, Jimouat Paid
392510107IMP 39251 0107 7195 BOXER ROOM PLACE 77/79 61.80 61.80
___________ ___________ ___________
61.80 61.80
i I
myreports4eports//PASCOPRODIPASCOICustomer Receipt vlfrpt Print Date: 01202021 Page 1 of 1
CITY OF " " BUILDING
ZEPHYRHILLSNOTICE DEPARTMENT
OF ADDITION OR CORRECTION
D • NOT REMOVE
ADDRESS DATE PERMIT#
()nd
THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job
will be accepted.
La ru.5
It is unlawful for any Carpenter,Contractor,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL
cover or cause to be covered,any part of the work with flooring,lath,earth
or other material,until the proper inspector has had ample time to approve 780-0020 FOR R -INSP CTIO
the installation.
OFFICE HOURS 8:00 AM-4:30 PM MON.-FRI. INSPECTOR %/
CITY OF " " BUILDING
ZEPHYRHILLSNOTICE DEPARTMENT
OF ADDITION OR CORRECTION
. • NOT REMOVE
ADDRESS DATE PERMIT#
R a fit' a_0
THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job
will be accepted.
It is unlawful for any Carpenter,Contractor,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL
cover or cause to be covered,any part of the work with flooring,lath,earth
or other material,until the proper inspector has had ample time to approve 780-0020 FO E-INS fl O N
the installation.
OFFICE HOURS 8:00 AM-4:30 PM MON.-FRI. INSPECTOR
' I City of Zephyrhills PERMIT NUMBER
5335 Eighth Street
Zephyrhills, FL 33542 BGR-001386-2021
i Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 01/21/2021
� t
i t
t
Permit Type: Building General (Residential)
Property Number Street Address
32 25 21 0100 01800 0020 7195 Boxer Round PI
Owner Information Permit Information Contractor Information
Name: D R HORTON Permit Type:Building General(Residential) Contractor: LAWN MEDIC
Class of Work:Irrigation LANDSCAPING & IRRIGATION LLC
Address: 12602 Telecom Dr Building Valuation:
TAMPA,FL 33637 Electrical Valuation:
Phone: (813)549-1968 Mechanical Valuation:
Plumbing Valuation: �(
Total Valuation:$0.00 / I
Total Fees:$45.00
Amount Paid:$45.00
Date Paid:1/25/2021 11:48:55AM
ProjectI Description
IRRIGATION CONNECT ONLY..............
Application FROM
Irrigation Connect Fee $45.00
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each subsequent reinspection.
Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permit required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner:Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications add fee Must Accompany Application.All work shall be performed in
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
i°'CONTRACTOR SIGNATURE -::cc 'PE IT OFFICE
__PERM T7EXPIRES- IN 6 MONTHS WITHOUT�APP'ROVED-1NSP_ECTION
-- ---CA-L FOR-INSPECTION - 8 HOUR-NOTICE_REQUIRED
PROTECT CARD FROM WEATHER
813.78MG20 City of Zephyrhills Permit Applicdon Fax$t3a�o�o2t
Butid+ng Department
Doi Recelved s Phone Contact for parmIttlen �-
TT! 15121
Ownst's Name ' " sSf'°`1 owner Phone Number
Ownot's Addrose Owvrtor Phone Number
Fee Slmplo Maholde'r Name �_,_r_,_ __ Owrt►r cshe_t a Hu rz'..^
Fee Simpto Titleholde►Address
408ADDRESS ? � LOT#/ �✓ i 11# T`
F,
SUBDMSfON PARCEL tDit
t
{OSTAnGD FROM PROPERTY TAX NCMCB)
WORK PROPOSED f ® NEW CONSTR R AMALT = SIGN rl 71 DEMOLISH
INSTALL REPAIR.
PROPOSED USE i SFR M. Muhl F-j
TYPE OF CONSTRUCTION Q BLOCK FRAME ® STEEL
t
OBSCRIPTION OF WORK
0UILOING SIZE � SR FOOTAGE HEIGHT
QBUILDING ; I" VALUATION OF TOTAL CONSTRUCTION
PROGRESS ENERGY (7 W-R.E.C,
[ 1
. PLUhtB{NG
///yyy���
QMECHAMCAL 5�"— 1 VALUATION OFMECr1ANIOALINSTALLATION ((��f
QtiAS z [� ROOFING SPECtAt Tv U OTt-F—R
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES NO
BUILDER �_._...., COMPANY I
SIGNATURE } REGISTERED I Y 1 N FEE CURREN rTrJ� !
Addraso ��'`"� License#i I
ELECTRICIAN I COMPANY
810E+1ATURt? f REGISTERED I YIN FE£CU(R"R'ENN !�N-
Address i j License#I _
71
PLUMEER 1 L j; y� COMPANY
SIGNATURE 1 t nit.54MED (t !1'y}7 i`, FEECUBREecN 1N �
Addmss ,�(�'grate �}- C� License tom,?'il3 *, r
MUCHANICAL F7--
COMPANY
SIGNATURE I Y J'N FEE CURREN Y I N
Add. x License#
OTHER ! COMPANY
SIGNATURE RECiSST£REO YIN FEE CURREN �Y1N
Address s` License#
111 # 1111111111t11t11ltalflrtllltlllllilt !! tl11 ! ! ! ! ! !! 1lii ! ! !!! ! i ! ! ! !
HestpENTIAL Attaarir(2)Nlai Nlena,{'1j cats al t7Uliding NIanS;(1 J Sei of tnargy`O"a'Hi'w"",,for new construction,
Mn
on
(t0}worMng days after aubmittaf data. Required tins to,Caasiructson PWns.Stormwtater Plans wt Silt Fence installed,
San tery Facilities 8 t dumpster,Site work Permit forsubdivlsiansllarge projects
COMMERCIAL, Attach;I2)complete aets of Bvltdmg Plana plus a Ldo Safety Page'(!)set of Energy FOmts.R•O=W Pormit far new construction.
M,nI Um ten(10)warXng days oiler s.b-t l date. Roq.,red onstte,Conslructon Plans,Stormwater Plans wv/Sift Fence Inst011ed
SanRajy Faaittrias 8 t dumpstet.Ste Warir Permh for aII new pro}acts.Ali carngralat requirements must meat compliance
SION PERMIT Attach4(E)sets of Eng nerd Plans.
PROPERTY SURVEY required farm NEW construction.
Dlroeltons:
= Fm vr.ap�^liastr_n a:Cn;,tewir.
Owner&Conlmc ariTga back ofapp)icaoan,r.Cianzen
Hover$2600,a Nonce of Commencement is required. (AIC upgrades over$7500)
•• Agent(for the oontroator)or Power UI AROmay(fortne owner)would be someone with notarized loiter from owner authorizing same
OVBR THR COUNTER PERMITTING (Copy of contract required)
Reroota it shingles "m Service Upgraderp AIC Fences(PlaUSarveytFaatage)
Drlvewaye"Not over Counter 9 on put he ivariways..neeLlS ROW
s
5
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to`deed"restrictions"
YJI IIGII may lit Iliun=scat n.UVC U1011 NYUIItJ ICyaIfOUYIiO. tltry YliuViOlallQu i7DOYii1Ga iVO�IVMaVnii�fvi irJinj+ ri is.....oiy
applicable deed}restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to utrdertake work,they may be required to be licensed In accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law: If the owner or Intended contractor are uncertain as to what licensing requirements may apply for the
Intended work,they are advised to contact the Pasco County Building Inspection Division—Ucensing Section at 727-847-
8009. Furthermore, If the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the!,'contractor Block"of this application for which they will be responsible. If you,as the owner sign as the
contractor,that�imay be an indication that he is not properly Ncen:ed and is not entitled to permitting privileges In Pasco
County.
TRANSPORTATION IMPAC I IU I ILi I lib IMPAU I AMU Kt'UUKUt KtUUYGKT rtt5: ins undersignea understands
that Transportation impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of
use in existing buildings,or expansion of existing buildings,as specified in Pasco County Ordinance number 89-07 and
90-07,as amended. The undersigned also understands,that such fees,as may be due,will be identified at the time of
permitting. It is further understood that Transportation impact Fees and Resource Recovery Fees must be paid prior to
receiving a'certlficate of occupancy"or final power release. If the project does not involve a certificate of occupancy or
final power release,the fees must be paid prior to permit issuance. Furthermore.if Pasco County Water/Sewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 719,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant Is someone
other than the;cwnoe%I ccrtlty that I have obtained o copy of the above dcw.dbcd document and promise In good faith to
deliver it to the downer"prior to commencement.
CONTRACTOR'S10WNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done Inloompllanco with all applicable laws regulating construction,zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or Installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I untlerstand that the regulations of other government agencies may apply to the intended work,and that it Is
my responsibility to identify what actions I must take to be In compliance. Such agencies Include but are not limited to:
- DOartment of Environmental Protection-Cypress Bayheads,Welland Areas and Environmentally Sensitive
I arch; WaterlWastewaterTreatment
- Southwest Florida Water Management District-Welts, Cypress Bayhoads, Watland Areas, Altering
Watercourses.
Army Corps of EngineemSeawaIla,Docks,Navigable Waterways.
Department of Health 81 Rehabilitative ServicestEnvironmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
UStEnvironmental Protection Agency-Asbestos abatement-
Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
Uso of fill is not allowed in Flood Zone"V"unless expressly permitted,
If the fill material Is to be used in Flood Zone "A", It is understood that a drainage plan addressing a
+wr::nnnnn��{rtn vc!urne"..All be eubrniHod at Brae of nermHlinn%yNch Ie prepred by a nmfoaninnol ennlru_aar
�....- ,._....... .o ...._... ,. .,. . _ r. .a..
llccn3cd by the State of Flodao, _
If the fill material Is to be used in Flood Zone"A" in connection with a permitted building using stem wall
construction,I certify that fill will be used only to fill the area within the stem wall.
If 411 material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill Is found to adversely affect adjacent properties,the owner may be cited for violating
the''conditions of the building permit Issued under the attached permit application,for lots less than one(1)
acre which are elevated by fill,an engineered Cringe plan Is required.
If I am the AGENT FOR THE OWNER,I promise in good faith to inform the-ovner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, slgnts,wells, pools, air conditioning, gas,or other Installations not specifically Included In the application. A
t.. tl.-.... ...4 `6'.?. -L �J �n w,fl•,•M.•��„iylwlw ..... wY�• w IJCIII III 1a0YN IIltQll VC VVIt.7t1YGY W NCO t11r4:11Jt.W ptt,t.t,.w t• tl vVln=4, M Mu•v,l•)
set aside sty provisions of the technics!codes,tar shall lsgnce of a permit prevent the Buulding Official from thereafter
requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit Is commenced% thin six months of permit issuance,or it work authorized by
the permit Is suspended or,abandoned for a period of six(a)months after the time the work Is commenced. An extension
may be requested,In writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate
justifiable cause forthe extension. If work ceases for ninety(90)consecutive days,the job Is considered abandoned.
i;
WARNING T6OWNER: YOUA,FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
U DER OR AN ATTORNEYBr=FORFI t3 YOUB NOTICg Qp COWHINCgMENT.
i;
OWNER OR AO tg1L A CONTRAOTOR
Sub ribed and o me c d and r e Ir is
Sub
t
are pe svn y nowrl to me a trasthave producetl o i are y me o omave pmtlucea
a,+ i.:etion. as Ide�tlfieaUcn.
Ir 4/ V �(� GCS Notary Public
Gammtyslon koi
If';••f• AiA
X t uil6 ebl / egi� t 1 prildmuOf6tomped '
:a• •� �b
E r !tars
U r10t21Y Public Unde(Wr t,!
' reod0�°c' t3nn,de �, :, AMANDA ACKERSON
MY COMMISSION#GG 925496
.T
EXPIRES.,February
•,OFFL" ry23,2024
Bonded Thru Notary public Underwriters
1`